A prospective study of ‘circumferential purse-string approximation’ vs. primary linear skin closure in stoma reversal

Bains, Manavdeep Singh; Nar, Amandeep Singh; Jabbal, Harmandeep Singh; Mishra, Atul; Mishra, Akashi

doi:10.11604/pamj.2022.42.287.29213

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Assessing colostomy wound closure methods, the most common choice was traditional single suture closure. It is the fastest way, but is also known for a higher rate of SSI [ 25 , 26 ]. Medical professionals’ insufficient comprehension of the level of SSI in patients undergoing colostomy reversal could be responsible for still choosing the single suture technique.…”

Section: Discussionmentioning

confidence: 99%

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Kisielewski,

Wojewoda,

Richter

et al. 2024

Videosurgery and Other Miniinvasive Techniques

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Introduction Creation of colostomy is still a commonly performed procedure in emergency settings, when intestinal anastomosis cannot be performed safely. Reversing a stoma has been linked with high rates of morbidity and also mortality. Aim The primary goal of the study was to identify the risk of postoperative complications in patients undergoing colostomy liquidation. The secondary goal was to assess perioperative care parameters. Material and methods The LIquidation of COlostomy (LICO) study is an open multicenter prospective cohort study that began in October 2022 and will continue until December 2023. Data from 20 Polish surgical departments were collected. Overall 45 patients were reported over the initial 3 months; based on that group we performed a preliminary analysis. Results Mean operative time was 163 min. Patients were operated on by specialists in 93.3% of cases. Complications occurred in 15 (33.3%) patients. Wound infection was the most common complication (17.8%). In 3 (6.7%) cases anastomotic leakage was diagnosed, and in 2 of those cases reoperation was required. The overall mortality rate was 2.2%. The mean length of hospital stay was 10.1 days. Preoperative fasting was used in 53.3% of patients, and the mechanical bowel preparation rate was 75.6%. Only in 8.9% of cases was laparoscopic access used for stoma reversal, and only in 1 out of 45 cases was mesh used for incisional peristomal hernia prophylactics. The stoma site was closed by single sutures in 73.3%, and negative pressure assisted closure was performed in 6.7% of patients. Conclusions Colostomy liquidation is associated with significant morbidity and minor mortality in the Polish population. Standardized perioperative care should be established for stoma reversal surgery.

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Section: Discussionmentioning

confidence: 99%

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Kisielewski,

Wojewoda,

Richter

et al. 2024

Videosurgery and Other Miniinvasive Techniques

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“…There was a greater incidence of SSI in primary surgical closure compared to secondary, which is seem to be consistent with prior studies in the literature. One meta-analysis by Rondelli et al, (2018) comparing between PSC and primary linear skin closure, reported a similar conclusion that the primary linear skin closure group had a statistically significant higher rate of SSI after SR in comparison to the PSC group (Bains et al, 2022). Sayuen et al, (2022) conducted a study comparing between PSC and linear closure among pediatric patients that underwent SR, they reported that there had been a significantly lower rate of SSI among the PSC group in comparison to the linear closure group.…”

Section: Surgical Site Infection and The Associated Factorsmentioning

confidence: 91%

"Incidence and risk factors associated with surgical site infection among patients that underwent stoma reversal at a Saudi tertiary hospital"

Alqarni¹,

Almutairi²,

Alshehri³

et al. 2023

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Background: Stoma reversal is used to reconnect the area after a colostomy or ileostomy. There are multiple post-operative complications associated with stoma reversal, most commonly surgical site infection (SSI). Aim: The aim is to determine the incidence rate of SSI in stoma reversal and to assess possible risk factors associated with SSI in stoma reversal patients by analyzing operative and non-operative variables. Methods: This retrospective cohort study was done at the surgery department of king Abdulaziz medical city (KAMC) in Riyadh. All stoma reversal surgeries were either emergent or elective, open or laparoscopic and ileostomy or colostomy. Malignant and benign diseases were included. Results: Out of the 123 patients, 14 developed SSI representing 11.4%. The time to reversal was longer among patients with SSI compared to those without SSI. Significance was related to patients undergoing primary vs. secondary skin closure. Conclusion: There was no significance of the patient's primary disease and comorbidities and development of SSI. However, a longer time period between the stoma creation and stoma reversal and primary skin closure were associated with higher risk of SSI.

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A prospective study of ‘circumferential purse-string approximation’ vs. primary linear skin closure in stoma reversal

Cited by 2 publications

References 13 publications

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

"Incidence and risk factors associated with surgical site infection among patients that underwent stoma reversal at a Saudi tertiary hospital"

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